SEC Form 5/A · accession 0001144204-16-125321
INVACARE CORP · IVC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 5/A). It replaces an earlier filing for the same period.
Reporting owner
Period of report
Dec 31, 2015
Accepted (ET)
Sep 26, 2016 · 4:15 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000742112
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common SharesF3,F1 | Dec 29, 2015 | G | 2,232 | — | D | 104,879 | D | |
| Common SharesF3,F2 | holding | — | — | — | 158,530 | I | Through A. Malachi Mixon III Trust | |
| Common SharesF3,F4 | holding | — | — | — | 19,045 | I | By IRA | |
| Common SharesF3,F5 | holding | — | — | — | 4,106 | I | By Family Foundation |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The original Form 5 filed on January 29, 2016 is amended by this Form 5/A to correctly reflect the amount of securities beneficially owned. No other changes have been made to this line
- F2The original Form 5 filed on January 29, 2016 is amended by this Form 5/A to correctly reflect the amount of securities beneficially owned. No other changes have been made to this line.
- F3No transaction is being reported on this line.
- F4The original Form 5 filed on January 29, 2016 is amended by this Form 5/A to add this line in order to show Class B Common Shares the reporting person holds through his IRA.
- F5The original Form 5 filed on January 29, 2016 is amended by this Form 5/A to add this line in order to show Class B Common Shares the reporting person holds through his Family Foundation.